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Navigation. Marquette, MI June 4 th 1:00 – 3:30. Agenda. CHAMPS Profiles Navigation Resources CHAMPS Trivia Questions???. CHAMPS Profiles. CHAMPS Profiles. Domain Administrator Assign or remove domain and profile access CHAMPS Full Access - PowerPoint PPT Presentation
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NavigationMarquette, MI
June 4th 1:00 – 3:30
Agenda
CHAMPS Profiles
Navigation
Resources
CHAMPS Trivia
Questions???
CHAMPS Profiles
CHAMPS Profiles
Domain Administrator
Assign or remove domain and profile access
CHAMPS Full Access
Provider Enrollment (PE), Prior Authorization (PA), Eligibility, and Claims
CHAMPS Limited Access
View only PE, Full for PA, Eligibility, and Claims
PA
Access to PA only
CHAMPS Profiles
Eligibility Inquiry
Access to Eligibility only
PE Access
Full access to PE
View PE
View only access to PE
Claims Access
Full access to Claims
CHAMPS Navigation
Domain AdministratorAdding Users
Domain AdministratorUpdating Domains
Provider Portal
Provider Managing Provider Information
AdminViewing Archived Documents
Stop Getting Paper RA by Mail
ClaimsInquiry
ClaimsSubmit
CHAMPS DDE Function
Professional Claims
All info on your 1500 form needs entered in CHAMPS
Institutional Claims
All info on your UB04 form needs to be entered in CHAMPS
Dental Claims
All info on your ADA form needs to be entered in CHAMPS
Manage ClaimsAdjust/Void
MemberEligibility Inquiry
Prior AuthorizationPA Inquire
Resources
Spend Downhttps://healthplanbenefits.miheal
th.org
Web site developed and maintained by MPHI
Displays the Spend Down amount in the eligibility response on their MI Health Plan Benefits page
The information is yesterday’s information because the eligibility file is sent nightly from CHAMPS
Questions???
